Kevin David Wilson
NPI 1104890128ActiveIndividual· Physical Therapist· Miamisburg, OH
Physical Therapist with Beacon Orthopaedics and Sports Medicine Ltd, practicing in Miamisburg, Ohio. Medicare paid $52,462 for services to 96 patients in 2024.
Overview
| NPI | 1104890128 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 15, 2006 |
| Last updated in NPPES | Sep 10, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT010461 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (OH) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 96 |
|---|---|
| Services billed | 2,881 across 9 procedure codes |
| Paid by Medicare | $52,462 |
Education and affiliations
| Graduation year | 2003 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Beacon Orthopaedics and Sports Medicine LtdGranville, OH · 471 clinicians
Other physical therapists in Miamisburg
- 1124865506
- 1750777637
- 1023525730
- 1467266825
- 1689241267
- 1740035658
- 1902412059
- 1184316044
- 1053795740
- 1487209300
- 1962277491
- 1144134537
All 23 physical therapists in Miamisburg · All physical therapists in Ohio